多项研究显示,补这个有用,这样吃有利于糖尿病创面和溃疡愈合!

2021-12-07 MedSci原创 MedSci原创

目前针对糖尿病足的营养干预研究,主要显示了补充以下维生素有利于改善创面结局。

适当的营养对伤口愈合至关重要。且特定创面更需要特殊的干预护理。

图1文章来源

目前针对糖尿病足的营养干预研究,主要显示了补充以下维生素都有利于改善创面结局。

维生素A

Tom等人对24名糖尿病足溃疡患者进行了随机、双盲、安慰剂对照试验(证据等级II)。这些人每天局部涂维甲酸(维生素A衍生物)乳膏,或在标准伤口护理的基础上接受安慰剂治疗,共治疗4周。研究报告,与安慰剂组相比,溃疡表面积和深度显著减少和深度。

维生素B9

Boykin等人对29名接受维生素B9(叶酸)辅助治疗早期糖尿病足溃疡伤口的患者进行了回顾性队列研究(证据等级III)。在补充前4周、补充开始时和4周随访时测量伤口表面面积。作者报告说,每天口服5毫克维生素B9(叶酸)4周后,糖尿病足溃疡伤口面积显著减少。

维生素D

DRazzaghi等人进行了一项随机、双盲、安慰剂对照试验(证据I级),60名患者接受50000 IU口服维生素D补充剂或安慰剂治疗,每2周治疗一次,共12周,治疗3级糖尿病足溃疡伤口。作者报告溃疡长度(−2.1厘米与−1.1厘米;p=0.001),宽度(−2.0 cm与-1.1 cm;p=0.02),深度(1.0 cm与-0.5 cm;p<0.001)显著缩短。

Afzali等人进行了一项随机、双盲、安慰剂对照试验(证据I级),57名患者接受400 IU Vitamin E和250 mg镁口服补充剂或安慰剂治疗3级糖尿病足溃疡伤口,为期12周。作者报告溃疡长度(−1.2厘米:−0.8厘米;p=0.003),宽度(−0.9厘米:−0.7厘米;p=0.02)和深度(−0.5厘米:-0.2 cm;p=0.02)显著缩短。

对于糖尿病溃疡伤口,所有四项纳入的研究都报告了接受局部维生素A、口服维生素B9、口服维生素D或口服维生素E补充治疗的患者的伤口结局改善。然而,在最近发表的Cochrane综述中,Moore等人得出结论,目前可用的证据仍不确定,需要更多的研究来阐明营养干预对糖尿病足溃疡伤口愈合的影响。

图2 证据整理

而对于静脉溃疡伤口,则有七项有高等级循证证据的研究,其中有四项报告了伤口愈合情况的改善。

首先是维生素B9(叶酸),这有利于减小溃疡面积

De Francisciscis等人进行了一项前瞻性、开放性干预、对照试验(证据等级II)。87名患者在接受标准伤口护理或仅接受标准伤口护理的基础上,每天口服叶酸1.2 mg,为期12个月,以治疗慢性静脉溃疡。作者报告每周溃疡总面积减少率显著增加,与对照组相比,接受口服维生素B9(叶酸)补充的患者的最终伤口闭合率(78.8%对63.3%;p<0.05)更高。

维生素D和维生素E却对溃疡没有明显的改善效果。

Burkiewicz等人进行了一项前瞻性、双盲、安慰剂对照试验(证据等级II),52名患者接受50000 IU口服维生素D补充剂或安慰剂每周治疗8周,以治疗下肢静脉溃疡。作者报告说,与安慰剂组相比,伤口没有明显改善或溃疡大小减少。Lee对57名接受慢性静脉淤滞性溃疡伤口治疗的患者进行了随机、双盲、安慰剂对照试验(证据I级)。作者报告,与安慰剂相比,口服维生素E片剂的患者伤口愈合率没有显著改善。

但是补锌却很有用,且口服效果更佳

Strömberg和Agren进行了一项随机、双盲、安慰剂对照试验(证据等级II),37名老年患者正在接受局部应用氧化锌敷料治疗下肢静脉溃疡。作者报告了伤口愈合的改善(83%对42%;p<0.05)和溃疡大小的显著减少(−3.2 cm2与−1.5 cm2;p<0.05),与安慰剂组相比,锌治疗组在8周的随访中。两年后,埃里克森进行了一项随机对照试验(证据水平II)34名患者接受局部锌敷料治疗下肢静脉溃疡,与安慰剂组相比,溃疡大小或体积无明显改善。 Hallbök、Lanner20和Husain21独立进行随机单盲试验,安慰剂对照试验(证据I级),共有154名患者接受口服补锌治疗静脉溃疡。作者报告,血清锌浓度高于110μg/dl的患者,或在接受口服补充200mg硫酸锌,每天三次,持续18周后,伤口最终愈合的时间明显缩短(p<0.001)。

 

综上述。糖尿病溃疡伤口得益于口服维生素A、口服维生素B9、口服维生素D、口服维生素E和口服镁补充剂。静脉溃疡伤口得益于口服维生素B9和口服锌补充剂,尤其是口服补锌。据报道,口服维生素B9可改善伤口预后,但仅有一项研究对此进行了调查。

营养干预对伤口愈合有较光明的前景,且对于特殊类型的创面,使用特定营养干预更有利于改善创面结局。

原始来源:

Saeg Fouad,Orazi Rita,Bowers Gerald M et al. Evidence-Based Nutritional Interventions in Wound Care.[J] .Plast Reconstr Surg, 2021, 148: 226-238.

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    2022-11-19 qindq
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    2022-02-27 ms1000000765107107

    还有积雪苷霜乳膏

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1631998, encodeId=d15c1631998ee, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Sat Nov 19 10:57:13 CST 2022, time=2022-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1197654, encodeId=b2c4119e654c5, content=还有积雪苷霜乳膏, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1d336485309, createdName=ms1000000765107107, createdTime=Sun Feb 27 05:29:18 CST 2022, time=2022-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185405, encodeId=44811185405fa, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Tue Jan 18 00:33:18 CST 2022, time=2022-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1083839, encodeId=9c8d108383946, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Fri Dec 24 10:51:53 CST 2021, time=2021-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082747, encodeId=c7ba1082e47d3, content=认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 21 22:35:06 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082744, encodeId=9cbf1082e44d0, content=好的!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 21 22:31:54 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082469, encodeId=bdbf10824698e, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4adc6412485, createdName=ggggggxxxxx, createdTime=Tue Dec 21 09:33:37 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082238, encodeId=6a471082238bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=81735578932, createdName=slb8119, createdTime=Mon Dec 20 22:19:11 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081527, encodeId=6acf108152e20, content=营养学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Sat Dec 18 12:57:47 CST 2021, time=2021-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077878, encodeId=52f010e787867, content=补多维元素片!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 07 22:11:21 CST 2021, time=2021-12-07, status=1, ipAttribution=)]
    2022-01-18 452946589

    学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1631998, encodeId=d15c1631998ee, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Sat Nov 19 10:57:13 CST 2022, time=2022-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1197654, encodeId=b2c4119e654c5, content=还有积雪苷霜乳膏, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1d336485309, createdName=ms1000000765107107, createdTime=Sun Feb 27 05:29:18 CST 2022, time=2022-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185405, encodeId=44811185405fa, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Tue Jan 18 00:33:18 CST 2022, time=2022-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1083839, encodeId=9c8d108383946, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Fri Dec 24 10:51:53 CST 2021, time=2021-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082747, encodeId=c7ba1082e47d3, content=认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 21 22:35:06 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082744, encodeId=9cbf1082e44d0, content=好的!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 21 22:31:54 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082469, encodeId=bdbf10824698e, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4adc6412485, createdName=ggggggxxxxx, createdTime=Tue Dec 21 09:33:37 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082238, encodeId=6a471082238bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=81735578932, createdName=slb8119, createdTime=Mon Dec 20 22:19:11 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081527, encodeId=6acf108152e20, content=营养学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Sat Dec 18 12:57:47 CST 2021, time=2021-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077878, encodeId=52f010e787867, content=补多维元素片!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 07 22:11:21 CST 2021, time=2021-12-07, status=1, ipAttribution=)]
    2021-12-24 屋顶瞄爱赏月

    学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1631998, encodeId=d15c1631998ee, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Sat Nov 19 10:57:13 CST 2022, time=2022-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1197654, encodeId=b2c4119e654c5, content=还有积雪苷霜乳膏, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1d336485309, createdName=ms1000000765107107, createdTime=Sun Feb 27 05:29:18 CST 2022, time=2022-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185405, encodeId=44811185405fa, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Tue Jan 18 00:33:18 CST 2022, time=2022-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1083839, encodeId=9c8d108383946, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Fri Dec 24 10:51:53 CST 2021, time=2021-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082747, encodeId=c7ba1082e47d3, content=认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 21 22:35:06 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082744, encodeId=9cbf1082e44d0, content=好的!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 21 22:31:54 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082469, encodeId=bdbf10824698e, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4adc6412485, createdName=ggggggxxxxx, createdTime=Tue Dec 21 09:33:37 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082238, encodeId=6a471082238bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=81735578932, createdName=slb8119, createdTime=Mon Dec 20 22:19:11 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081527, encodeId=6acf108152e20, content=营养学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Sat Dec 18 12:57:47 CST 2021, time=2021-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077878, encodeId=52f010e787867, content=补多维元素片!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 07 22:11:21 CST 2021, time=2021-12-07, status=1, ipAttribution=)]
    2021-12-21 医鸣惊人

    认真学习了。

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1631998, encodeId=d15c1631998ee, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Sat Nov 19 10:57:13 CST 2022, time=2022-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1197654, encodeId=b2c4119e654c5, content=还有积雪苷霜乳膏, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1d336485309, createdName=ms1000000765107107, createdTime=Sun Feb 27 05:29:18 CST 2022, time=2022-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185405, encodeId=44811185405fa, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Tue Jan 18 00:33:18 CST 2022, time=2022-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1083839, encodeId=9c8d108383946, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Fri Dec 24 10:51:53 CST 2021, time=2021-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082747, encodeId=c7ba1082e47d3, content=认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 21 22:35:06 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082744, encodeId=9cbf1082e44d0, content=好的!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 21 22:31:54 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082469, encodeId=bdbf10824698e, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4adc6412485, createdName=ggggggxxxxx, createdTime=Tue Dec 21 09:33:37 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082238, encodeId=6a471082238bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=81735578932, createdName=slb8119, createdTime=Mon Dec 20 22:19:11 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081527, encodeId=6acf108152e20, content=营养学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Sat Dec 18 12:57:47 CST 2021, time=2021-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077878, encodeId=52f010e787867, content=补多维元素片!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 07 22:11:21 CST 2021, time=2021-12-07, status=1, ipAttribution=)]
    2021-12-21 419040982

    好的!

    0

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    2021-12-21 ggggggxxxxx

    👍

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1631998, encodeId=d15c1631998ee, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Sat Nov 19 10:57:13 CST 2022, time=2022-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1197654, encodeId=b2c4119e654c5, content=还有积雪苷霜乳膏, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1d336485309, createdName=ms1000000765107107, createdTime=Sun Feb 27 05:29:18 CST 2022, time=2022-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185405, encodeId=44811185405fa, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Tue Jan 18 00:33:18 CST 2022, time=2022-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1083839, encodeId=9c8d108383946, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Fri Dec 24 10:51:53 CST 2021, time=2021-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082747, encodeId=c7ba1082e47d3, content=认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 21 22:35:06 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082744, encodeId=9cbf1082e44d0, content=好的!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 21 22:31:54 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082469, encodeId=bdbf10824698e, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4adc6412485, createdName=ggggggxxxxx, createdTime=Tue Dec 21 09:33:37 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082238, encodeId=6a471082238bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=81735578932, createdName=slb8119, createdTime=Mon Dec 20 22:19:11 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081527, encodeId=6acf108152e20, content=营养学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Sat Dec 18 12:57:47 CST 2021, time=2021-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077878, encodeId=52f010e787867, content=补多维元素片!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 07 22:11:21 CST 2021, time=2021-12-07, status=1, ipAttribution=)]
    2021-12-20 slb8119

    学习了

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1631998, encodeId=d15c1631998ee, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Sat Nov 19 10:57:13 CST 2022, time=2022-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1197654, encodeId=b2c4119e654c5, content=还有积雪苷霜乳膏, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1d336485309, createdName=ms1000000765107107, createdTime=Sun Feb 27 05:29:18 CST 2022, time=2022-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185405, encodeId=44811185405fa, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=df324723890, createdName=452946589, createdTime=Tue Jan 18 00:33:18 CST 2022, time=2022-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1083839, encodeId=9c8d108383946, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Fri Dec 24 10:51:53 CST 2021, time=2021-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082747, encodeId=c7ba1082e47d3, content=认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 21 22:35:06 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082744, encodeId=9cbf1082e44d0, content=好的!, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 21 22:31:54 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082469, encodeId=bdbf10824698e, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4adc6412485, createdName=ggggggxxxxx, createdTime=Tue Dec 21 09:33:37 CST 2021, time=2021-12-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1082238, encodeId=6a471082238bd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=81735578932, createdName=slb8119, createdTime=Mon Dec 20 22:19:11 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081527, encodeId=6acf108152e20, content=营养学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Sat Dec 18 12:57:47 CST 2021, time=2021-12-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1077878, encodeId=52f010e787867, content=补多维元素片!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a44885671, createdName=419040982, createdTime=Tue Dec 07 22:11:21 CST 2021, time=2021-12-07, status=1, ipAttribution=)]
    2021-12-18 D-House

    营养学习了

    0

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    2021-12-07 419040982

    补多维元素片!

    0

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JAMA子刊:足踝护理与糖尿病患者和肾功能衰竭患者的截肢之间的关联

接受足疗师足踝护理的有DFU风险的肾衰竭患者,可能与糖尿病相关截肢的可能性降低有关。

European Radiology:MRI在区分糖尿病足短期愈合和未愈合足溃疡中的应用

大多数与DM相关的下肢截肢都是先有足部溃疡,即使没有外周动脉疾病(PAD)作为潜在的风险因素亦是如此。溃疡形成和愈合受损的主要因素包括神经病变、生物力学压力、微创伤、感染和区域灌注受损。

Ther Adv Endocrinol Metab:治疗糖尿病足:COVID-19大流行期间的肢体挽救

患有糖尿病(DM)和糖尿病足溃疡(DFU)的患者通常需要频繁的DFU护理和清创术,

这5种疾病本身不可怕,可怕的是并发症!一个比一个“要命”

糖尿病并发症:1、糖尿病足2、糖尿病眼病3、糖尿病肾病4、自主神经病变5、酮症酸中毒

老年睡眠障碍患者营养干预专家共识

中国营养学会临床营养分会 · 2023-10-28

阿尔茨海默病脑健康营养干预专家共识

中华医学会肠外肠内营养学分会脑健康营养协作组 · 2021-12-20

2018 共识报告:腹腔和盆腔化疗和放射治疗患者的营养

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